中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2008年
29期
1-4
,共4页
丁敏%俞杰%沈红五%顾冬梅%茅志娟%吴晨梅%沈美云%唐爱萍
丁敏%俞傑%瀋紅五%顧鼕梅%茅誌娟%吳晨梅%瀋美雲%唐愛萍
정민%유걸%침홍오%고동매%모지연%오신매%침미운%당애평
健康孕妇%心理健康状况%综合干预%孕妇放松操
健康孕婦%心理健康狀況%綜閤榦預%孕婦放鬆操
건강잉부%심리건강상황%종합간예%잉부방송조
Healthy pregnant women%Psychological health condition%General intervention%Relaxation exercises for pregnant women
目的 探讨综合干预在改善健康孕妇心理状况中的作用.方法 将在产科门诊进行产前检查的怀孕28～32周的96名孕妇,随机分为对照组和干预组各48例.干预组从第1次产前检查开始,对孕妇实施综合干预措施,包括对孕妇的认知的干预、孕期行为的干预、家庭应对干预及应用自制的孕妇心理放松操等措施进行心理干预;而对照组实施常规的孕妇产前检查和宣教.并在产前和产后分别采用自编的一般状况问卷、症状自评量表(SCL-90)进行调查和分析.结果 对照组产后抑郁和焦虑明显高于分娩前;干预组产后的强迫症状、人际敏感、抑郁、敌对、恐怖和偏执有明显的改善.干预组产后人际敏感、抑郁、敌对、恐怖及偏执与对照组比较差异有统计学意义(P<0.05),焦虑有一定的改善,但差异无统计学意义. 结论分娩对健康孕妇的心理状态尤其是抑郁和焦虑影响很大,孕妇健康心理放松操等综合干预措施可以明显改善健康孕妇的心理状态,特别是抑郁情绪.
目的 探討綜閤榦預在改善健康孕婦心理狀況中的作用.方法 將在產科門診進行產前檢查的懷孕28～32週的96名孕婦,隨機分為對照組和榦預組各48例.榦預組從第1次產前檢查開始,對孕婦實施綜閤榦預措施,包括對孕婦的認知的榦預、孕期行為的榦預、傢庭應對榦預及應用自製的孕婦心理放鬆操等措施進行心理榦預;而對照組實施常規的孕婦產前檢查和宣教.併在產前和產後分彆採用自編的一般狀況問捲、癥狀自評量錶(SCL-90)進行調查和分析.結果 對照組產後抑鬱和焦慮明顯高于分娩前;榦預組產後的彊迫癥狀、人際敏感、抑鬱、敵對、恐怖和偏執有明顯的改善.榦預組產後人際敏感、抑鬱、敵對、恐怖及偏執與對照組比較差異有統計學意義(P<0.05),焦慮有一定的改善,但差異無統計學意義. 結論分娩對健康孕婦的心理狀態尤其是抑鬱和焦慮影響很大,孕婦健康心理放鬆操等綜閤榦預措施可以明顯改善健康孕婦的心理狀態,特彆是抑鬱情緒.
목적 탐토종합간예재개선건강잉부심리상황중적작용.방법 장재산과문진진행산전검사적부잉28～32주적96명잉부,수궤분위대조조화간예조각48례.간예조종제1차산전검사개시,대잉부실시종합간예조시,포괄대잉부적인지적간예、잉기행위적간예、가정응대간예급응용자제적잉부심리방송조등조시진행심리간예;이대조조실시상규적잉부산전검사화선교.병재산전화산후분별채용자편적일반상황문권、증상자평량표(SCL-90)진행조사화분석.결과 대조조산후억욱화초필명현고우분면전;간예조산후적강박증상、인제민감、억욱、활대、공포화편집유명현적개선.간예조산후인제민감、억욱、활대、공포급편집여대조조비교차이유통계학의의(P<0.05),초필유일정적개선,단차이무통계학의의. 결론분면대건강잉부적심리상태우기시억욱화초필영향흔대,잉부건강심리방송조등종합간예조시가이명현개선건강잉부적심리상태,특별시억욱정서.
Objective To explore the effect of general intervention in improving the psychological condition of healthy pregnant women. Methods Totally 96 pregnant women who made prenatal visits in our obstetrics and outpatient department were divided into the control and the intervention group stochasti-cally. The intervention group started from first prenatal visit. The general intervention measures included cognitive intervention, the behavioral intervention, family coping intervention and psychological intervention with self-designed relaxation exercises. While conventional prenatal visit, propaganda and nursing were im-plemented to the control group.Self-made general questionnaire and symptom checklist 90 (SCL-90)were used to survey and analyze the results. Results Post-natal depression and anxiety of the control group was obviously higher than that of the prenatal. The Post-natal obsessive-compulsive symptom, interpersonal sensitivity, depression, hostility, terror and bigotry in the intervention group were greatly alleviated. Com-pared with the control group, obsessive-compulsive symptom, interpersonal sensitivity, depression, hostility and terror of the intervention group were significantly different (P<0.05). The depression improved while the difference was not evidently differenL Conclusions Delivery had great influence on the psychological status of women,especially anxiety and depression. General intervention measures like psychological relax-ation exercises can improve the psychological condition of healthy pregnant women obviously,especially de-pression.
